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Individual

MRS. KAREN DENISE TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
9040D N 95TH ST, MILWAUKEE, WI 53224-6853
(414) 551-2317
Mailing address
9040D N 95TH ST, MILWAUKEE, WI 53224-6853
(414) 551-2317

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304161-031
WI

Other

Enumeration date
07/08/2009
Last updated
07/08/2009
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